隨著國民的健康型態發生轉變，各式疾病如慢性疾病、急性疾病之發生年齡層也逐漸年輕化，不僅是高齡人口，舉凡學生、上班族等青壯年族群也可能是健康照護服務的對象，健康照護服務的對象已不再侷限於高齡人口，而是與全年齡層之國民有關之議題。並且，隨著科技的進步，健康及醫療資訊越來越容易取得的情況下，傳統上認為患者僅能被動地接收照護機構所提供的資訊，已逐漸轉為患者能透過自身所搜尋到的資訊，培養一定程度的健康識能，透過知識所培養的資源整合、溝通能力來參與價值共創活動，提升患者之生活品質，達到健康照護體系之價值共創效果。
本研究採線上問卷調查方式，探討健康照護患者之健康識能、參與價值共創活動、正向情緒與生活品質之關聯，以了解健康照護體系之價值共創效果。本研究以各年齡層之健康照護患者為受訪對象，採取匿名的方式邀請受訪者進行填答，有效樣本數為306人。根據本研究之實證研究結果，發現健康照護患者之健康識能對參與價值共創活動，正向情緒對參與價值共創活動，參與價值共創活動對生活品質，皆有正向顯著影響。正向情緒對價值共創活動及生活品質並無調節效果，而價值共創活動對於健康識能與生活品質有部分中介效果。健康照護機構可以透過培養患者的健康識能，提升其資源整合能力，並協助其後續所進行的價值共創活動，以提升患者之生活品質，達到價值共創效果。本研究最後將根據實證結果，提出管理及實務上的建議，並提供未來相關領域研究者研究建議與方向，希冀本研究能提供衛生主管機關、醫療機構、照護機構相關管理者策略發展上的參考，以促進我國健康照護體系之共創共榮發展。

Health care issues become a main problem in our country. Moreover, with the advance of technology, health information is more and more available. Traditionally, patients only passively receive information provided by institutions, now have changed to actively searching, health literacy, and value co-creation activities through resource integration, to improve quality of life, and achieve the value co-creation in health care.
This research was proposed to study the relationship between health literacy, value co-creation activities, positive emotion and quality of life in health care patients by the method of questionnaire. The number of valid samples were 306. This evidence-based study showed there were positive effects on health literacy and value co-creation activities, positive emotions and value co-creation activities, value co-creation activities and quality of life. Positive emotions have no moderating effect on value co-creation activities and quality of life. Value co-creation activities have partial mediation effect on health literacy and quality of life.
Health care institutions can improve the quality of life of patients and achieve value co-creation by cultivating patients' health literacy, improving resource integration abilities and value co-creation activities. Finally, based on the results, this study provided management practice and future research suggestions for researchers and managers. We expected that this study can provide managerial strategies to managers of health authorities, medical institutions, and health care institutions, to achieve the goal of value co-creation development of Taiwan’s health care industry.

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